Tuesday, March 25, 2014 9:27:14 PM
There are good reasons for conservative timelines to start the formal Range Finding Toxicity study after the pre-IND meeting.
The design of the drug may have been optimized and finalized at the time of the pre-IND, but the consistency of the manufactured materials with the various processes would not have been.
The 3 scales of manufacturing processes below need to have similar CMC with respect to specifications and characterization of the product output.
1. Lab scale for formal Range Finding Toxicity Study
2. Larger lab scale for GLP Regulatory Toxicity study, PK and PD studies
3. Commercial scale to manufacture cGMP product for human clinical studies.
All potential specifications and characterizations of the test materials need to be consistent across each of the 3 scales of processes to assure the early tests can be leveraged for the later ones with sound scientific basis that can be used to support CMC and regulatory submissions as a total package.
Some potential specs might include Dose, Manufacturing Impurities, Degradant levels at batch release, PEG average molecular weight/number and PDI, overall molecular weight and range, ratio of PEG to fatty acid bridges, number of ligands per 'cide and characterizations might include degradation time in vitro, morphological state in solution, etc. There are average values and variation for each of these that must be controlled and shown as consistent across all of the processes to justify leveraging.
Therefore, they needed to make sure they could reliably make consistent product across all processes before starting the first tests to not waste money or time on a false start.
Other tasks resulting in an 18 month timeline from pre-IND to initial Tox testing:
1. My speculation is that it wasn't until the pre-IND meeting that they really knew everything the FDA wanted to see for CMC and characterization. As they said after the pre-IND in March 2012, FDA gave them specific recommendations for FluCide not included in the standard FDA Guidance documents. FDA likely asked for specific assays and tests and testing plans that needed to be developed, validated and executed. And then multiple lots would have had to be made and tested to set representative specs and tolerances.
2. Annual Report (excerpt below) states they intended to build all Tox study materials at the larger-scale new facility, but schedule and resource constraints there forced them to scale up and make in the smaller-scale laboratory facility. And then they didn't have all the equipment. My opinion - by not realizing sooner the new facility wouldn't be done in time, they cost themselves some time to do the lab scale up in existing facilities. But to their credit, they did recover and find a way to get an important portion of the formal Tox studies started (barely) by end of the wide range of their self-imposed deadline.
3. Multiple process optimizations followed by builds to establish reproducibility, capability to specs and consistency in characterizations all take time as well to make sure batches made now for non-GLP are consistent with batches to be made for GLP animal and Human Clinical studies.
Excerpts:
Bottom line from my point of view - they met their communicated deadline (even if you think they should have beat that) and are on the right track.
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